RGO HKAFO KAFO AFO - Ortho-Systems-bewegt...RGO HKAFO KAFO AFO Products 10.0 Updated May 2018...

Why choose us for orthotics?

Since the year 2000, ORTHO-SYSTEMS has set new standards in durability and function using weight and functional classifications. To date,

thousands of orthoses have been built using our unilateral joint system. Our modular knee and ankle joints with power units offer unbeatable

performance, improving both standing and gait. With our extensive product lines for the ankle, knee and hip, we have become the leader in our branch. Naturally for the best cost/performance ratio and quickest delivery times. In short: as it should be for the number 1 in unilateral

orthotic systems. Further comprehensive information about our goods and services at www.ortho-systems-inmotion.com.

RGO HKAFO KAFO AFO

Products 10.0 Updated May 2018

http://www.ortho-systems-inmotion.com/

Products 10.0 Page 1

System ORTHO-SYSTEMS was founded in the year 2000 with the goal of developing a system which delivered what it promised and was suitable for a

wide range of orthoses. Our functional classification assists in selection of the correct orthosis type, and all our products are weight classified to

ensure they meet the necessary demands.

Commitment to the highest quality ORTHO-SYSTEMS places the utmost importance on quality, from the design stages and material selection through to production. Customer

satisfaction has confirmed this, and motivated us to improve our products and develop new solutions for the orthotic industry. ‘Made in Germany’ is

a claim which compels us to the highest standards. ORTHO-SYSTEMS develops and produces exclusively in Germany; assembly and distribution

take place in Kirchheim under the strictest quality controls. Supplementing our own CNC automated production center are our suppliers who all

reside regionally. Personal contact with them is extremely important to us, as only with cooperative teamwork can improvements be realized.

Customer Contact Underlying all operations at our company is the continuous improvement process (CIP). This means constant improvement of our products,

processing, and service. CIP is an essential component of our quality management. Should problems arise with any of our products or their

implementation by a customer, administration, or customer service, the CIP serves for their improvement.

The Original We maintain our advantage because we develop and produce our own products. Reverse-engineering and copies from other manufactures honor

our accomplishments. However, without understanding of the issues being tackled, objectives, knowledge of construction techniques, and resulting

experience, it remains just that: a copy attempting to clone a product.

Price / Performance All our products undergo regular price reviews. When improving products, we strive to reduce production costs.


Contents Page Made in Germany 1 Table of Contents 2 Our Advantage 3 Functional Classification by Lesion 15 Unrivalled Guarantee 25

Overview Hip Joints 4

The Reciprocating Buran-2-D 5 - 7 The Reciprocating Revo-2-D 8 - 10 The Partially Restricted Fokus-3-D / -2-D / -1-D 11 - 13 Custom Fabricated Pelvic Connection ( -AG ) 14

Overview Knee Joints 16

The Adjustable Konso and Konso-Slide 17 – 18 The Locked Blocker and Blocker-Slide 19 – 20 The Free Liber and Liber-Extensor-N 21 – 24 New Possibilities with Modular Knee Joints

Overview Ankle Joints 26 New Possibilities with Modular Ankle Joints 27 - 28 Choose the Right Force 30 Ankle Joints with Power Units Compared 31 - 32 The Unique Shuttle-Uno 33 - 34 The Strong Shuttle-Turbo 35 - 36 The Powerful Shuttle-Booster 37 - 38 The Centering Shuttle-Flex 39 - 40 The Adaptable Shuttle 41 - 42 The Supporting Ela 43 - 44 The Practical Naveta 45 - 46 The Versatile Jumper 47 - 48 The Little Basic 49 - 50

Podium The Leicht-Walker and Foot- Walker with Superstructure 51 - 54 The Stehbrett Standing Platform with Superstructure 55 - 56

Tools The Heavy Duty Tools 57 - 58 The Handy Clamp 59 The All-Purpose Silicone 60

Prosthetics

The Custom Hipo Hipo Joint 61 - 62 Mammut and Gleiter Closure Systems 63 - 64 The Small Icke 65

Contact Configurator 6.2 66 - 68 Replacement Cam Order Form 69 Order / Enquiry Form 70 Replacement Parts 71 Milestones 72 Contact 74

This product catalogue 10.0 as well as our Understanding Orthotics Handbook is available for download in PDF format on our website.


Our Advantage We stay a step ahead of the competition through technical understanding, careful response to market requirements, and commitment to the

newest technology.

• All products are constructed in CAD-3D and assembly tested using computer simulation.

• Prototypes are fabricated using 3-D-printing for control checks on diverse casts and modification techniques.

• Manufactured in CNC for the highest quality.

• Assembled to a precision of one-hundredth of a millimeter for durability over the complete lifespan of the orthosis.

• Our unrivalled guarantee.

• All products are shipped fully assembled with assigned serial number.

3-D CAD Drawing- spatial depiction

3-D CAD Data- surface depiction

3-D CAD Assembly 3-D CAD Assembly: 3 joint levels using digitized RGO model


Overview Hip Joints Reciprocating hip joints are generally indicated for use in patients with lesions at levels TH-5 to L-3. Here we distinguish between two different

variants of reciprocating joints: one or two dimensional (1-D or 2-D). Conventional 1-D joints provide movement in flexion / extension, while 2-D hip

joints add a pelvic rotation component for improved, smoother walking. Stabilization and motion transmission take place via a rocker-bar

mechanism, which we can custom fabricate according to your specifications (model “AG”).

Buran Special features of the reciprocating Buran-2-D hip joints include two separate movement axes, an extended step

length and improved alignment adjustments. The walking axis, when viewed from the front, is tilted 20 degrees

from the vertical in order to permit pelvic rotation. This rotation represents movement of the trunk in relation to the

lower extremity, which allows the legs to remain aligned in the chosen walking direction. The second axis,

separated from the walking axis, is for sitting and allows a maximum angle of up to 155 degrees. The Buran-2-D

makes it possible to change the alignment at any time and adapt to flexion contractures up to 30 degrees.

Revo A special feature of the Revo 2-D hip joints is the 7+7 degree positioning of the movement axis. The first joint

angle, seen from the front, is slanted 7 degrees from the vertical in order to permit pelvic rotation. This rotation

represents movement of the trunk in relation to the lower extremity, which allows the legs to remain aligned in the

chosen walking direction. The second 7-degree angle, viewed from above, is slanted inwardly and anteriorly. It

allows the joint axis to be anteriorly offset and prevents pinching during sitting. Revo 1-D hip joints, without pelvic

rotation, are available for use in patients with limited range of motion. 1-D joints offer a wider adjustment range

than 2-D joints, for alignments to patients with significant contractures.

Partially restricted hip joints for HKAFOs are indicated for use in patients with lesions at levels L-3 to L-5, or for other diagnoses which necessitate

hip stabilization. Here we distinguish between three different variants: 1-D, 2-D and 3-D. 1-D joints permit motion in flexion / extension only; 2-D

joints add a pelvic rotation component for increased step length; 3-D hip joints include abduction. Stabilization of the pelvis takes place via a pelvic

band, which we can custom fabricate according to your specifications (model “AG”).

Fokus A special feature of the Fokus hip joint is that adduction can be completely blocked and flexion partly restricted (to

a 30 degree step length). For the Fokus-3-D / -2-D this occurs without affecting free rotation, as the joint axis

permits 12° of internal and 12° of pelvic rotation independent of flexion / extension.

This rotation refers to the maximum movement of the trunk in relation to the lower extremity (the legs remain

aligned in the previously chosen walking direction). The proximal joint section provides the flexion / extension stop

while the distal section permits rotation. Fokus-1-D hip joints restrict motion only in flexion / extension, for use in

patients with limited ranges of motion.

Products 10.0 Page 5 - 7

The Reciprocating Buran-2-D Hip Joint Special features of the reciprocating

Buran-2-D hip joints include two separate

movement axes, an extended step length

and improved alignment adjustments.

The walking axis, when viewed from the

front, is tilted 20 degrees from the vertical

in order to permit pelvic rotation. This

rotation represents movement of the trunk

in relation to the lower extremity, which

allows the legs to remain aligned in the

chosen walking direction.

The second axis, separated from the

walking axis, is for sitting and allows a

maximum angle of up to 155 degrees. The

Buran-2-D makes it possible to change the

alignment at any time and adapt to flexion

contractures up to 30 degrees.

Reciprocating

Locked

2-D Pelvic Rotation

Buran-2-D- left

Other Special Features

Weight classification ensures the system is stable even with large patients.

Easy to operate safety lock prevents accidental unlocking of joint.

Can be detached from the pelvic band, permitting modifications at a later time.

Developed for the unilateral joint system.

Rigid connecting plate cannot be bent.

Increased pelvic rotation for extended step length.

Two distinct axes for sitting and walking.


Functions

Stabilization and Compensation

Absence of hip adductors is compensated by the rigid pelvic connection.

Absence of hip abductors is compensated by the rigid pelvic connection.

Absence of hip extensors compensated by the flexion control.

Absence of hip flexors compensated by the extension control.

When the weight is shifted laterally and posteriorly, the opposite swing leg is lifted from the floor and, by a reciprocal rocking

mechanism, is transferred forwards. With Buran-2-D hip joints, an external rotation takes place in the swing leg. The hip follows this

rotary movement and simultaneously guides the inner rotation of the supporting leg. This combination of movements enables partial hip

rotation while walking, and allows a longer stride length. A detailed explanation of the gait is available from us.

Control

Hip adduction movements are smooth during reciprocal walking.

Hip abduction movements are smooth during reciprocal walking.

Hip extends to the chosen stride length during reciprocal walking.

Hip flexes to the chosen stride length during reciprocal walking.

Increased Independence

In combination with the unilateral Konso or Blocker knee joints, the thigh cuff can be left off where sufficient knee stability exists and flexion contractures are below 20 degrees.

The pre-selected hip locking mechanism allows opening and closing without external help.

Movement Buran-2-D

Pelvic rotation

reciprocally guided

Flexion / Extension

reciprocally guided

Feet move closer together when sitting

no

Sitting Function The sitting function is a further demand on the hip joint for the lesion area L 3 - Th 5. Both hip joints must be capable of flexing at the

same time. This requires releasing the legs from the reciprocal movement mechanism. The patient turns with his back towards a sitting surface. He holds firmly to this with, for example, his left hand and releases the lock at

the right side with his right hand, and vice versa. If the locks were to release the joints immediately after opening, this would cause the

patient to fall, since he is not supporting himself with both hands in order to sit securely. To avoid falling, the sitting function lock is, so to

speak, pre-selected. The patient holds tight exactly as described above and opens the joints in the stressed state. That means that the

center of gravity lies anterior to the hip joints, and the locks are under tension. Once the sides have been unlocked, both hands are

available for support and a hip extension movement relieves the locks, allowing them to spring open. To allow the patient to stand up,

the sitting function is locked while he is still sitting. He stands up supported by both arms. Once erect, the hips are extended completely,

allowing the locks to engage by a snap mechanism.


Gait for Buran-2-D and Revo-1-D Hip Joints

Article No. *** Weight Classification * Total Length / Width ** / Thickness**

Buran-2-D-ex-groß Buran-2-D-AG-ex-groß

Up to 85 kg

144,5 mm 36,0 mm 37,5 mm

Bura-2-D-groß Buran-2-D-AG-groß

Up to 70 kg

138,5 mm 36,0 mm 37,5 mm

Buran-2-D-mittel Buran-2-D-AG-mittel

Up to 50 kg

138,5 mm 36,0 mm 37,5 mm

Buran-2-D-klein Buran-2-D-AG-klein

Up to 25 kg

131,5 mm 36,0 mm 37,5 mm

* The configurator at www.ortho-systems-inmotion.com helps you in choosing the proper joints for your orthosis. The system guides you step by step through the selection process to the shopping cart.

** For one hip joint without pelvic connection or upright.

*** The suffix "AG" in the article number means we bend the rocker-bar mechanism according to your specifications. For further information please see page 14.

Applications RGO Reciprocating Gait Orthosis



The Reciprocating Revo-2-D / -1-D Hip Joint A special feature of the Revo 2-D hip joints is the 7+7 degree positioning of the movement axis.

The first joint angle, seen from the front, is

slanted 7 degrees from the vertical in

order to permit pelvic rotation. This rotation

represents movement of the trunk in

relation to the lower extremity, which

allows the legs to remain aligned in the

chosen walking direction.

The second 7-degree angle, viewed from

above, is slanted inwardly and anteriorly.

It allows the joint axis to be anteriorly offset

and prevents pinching during sitting.

Reciprocating

Locked

Pelvic Rotation (Revo-2-D)

Revo-2-D- left


Weight classification ensures the system is stable even with large patients.

Joint sizes small to extra-large use an easy to operate safety lock which prevents accidental opening of the joint. Revo-infant uses a lever mechanism for added security with smaller patients.

Can be detached from the pelvic band, permitting modifications at a later time.

Developed for the unilateral joint system.

Rigid connecting plate cannot be bent.

Compact size allows the orthosis to be worn under clothing and in a wheelchair.


Functions

Stabilization and Compensation

Absence of hip adductors is compensated by the rigid pelvic connection.

Absence of hip abductors is compensated by the rigid pelvic connection.

Absence of hip extensors compensated by the flexion control.

Absence of hip flexors compensated by the extension control.

When the weight is shifted laterally and posteriorly, the opposite swing leg is lifted from the floor and, by way of a rocker-bar

mechanism, transferred forwards. With the Revo-2-D hip joints, a slight external rotation takes place in the swing leg. The hip follows

this rotary movement and simultaneously guides the inner rotation of the supporting leg. This combination of movements enables

partial hip rotation while walking, and allows a longer stride length. A detailed explanation of the gait is available from us.

Control

Hip adduction movements are smooth during reciprocal walking (Revo-2-D only).

Hip abduction movements are smooth during reciprocal walking (Revo-2-D only).

Hip extends to the chosen stride length during reciprocal walking.

Hip flexes to the chosen stride length during reciprocal walking.

Increased Independence

In combination with the unilateral Konso or Blocker knee joints, the thigh cuff can be left off where sufficient knee stability exists and flexion contractures are below 20 degrees.

The pre-selected mechanism enables locking and unlocking of the hip joints without external help (sizes Revo small to extra large). For size Revo-infant, unlocking of the joint is possible only with assistance.

Movement Revo-2-D Revo-1-D

Pelvic rotation

reciprocally guided

no

Flexion / Extension

reciprocally guided

reciprocally guided

Feet move closer together when sitting

yes

no

Sitting Function (‘Pre-select’ not applicable for size infant) The sitting function is a further demand on the hip joint for the lesion area L 3 - Th 5. Both hip joints must be capable of flexing at the

same time. This requires releasing the legs from the reciprocal movement mechanism. The patient turns with his back towards a sitting surface. He holds firmly to this with, for example, his left hand and releases the lock at

the right side with his right hand, and vice versa. If the locks were to release the joints immediately after opening, this would cause the

patient to fall, since he is not supporting himself with both hands in order to sit securely. To avoid falling, the sitting function lock is, so

to speak, pre-selected. The patient holds tight exactly as described above and opens the joints in the stressed state. That means that

the center of gravity lies anterior to the hip joints, and the locks are under tension. Once the sides have been unlocked, both hands are

available for support and a hip extension movement relieves the locks, allowing them to spring open. To allow the patient to stand up,

the sitting function is locked while he is still sitting. He stands up supported by both arms. Once erect, the hips are extended

completely, allowing the locks to engage by a snap mechanism.


Gait for Revo-2-D and -1-D Hip Joints

Article No.**** Weight Classification * Total Length / Width ** / Thickness**

Revo-2-D-ex-groß Revo-2-D-AG-ex-groß Up to 85 kg

144,0 mm 35,0 mm 32,0 mm

Revo-1-D-ex-groß Revo-1-D-AG-ex-groß

Revo-2-D-groß Revo-2-D-AG-groß Up to 70 kg

142,0 mm 35,0 mm 32,0 mm

Revo-1-D-groß Revo-1-D-AG-groß

Revo-2-D-mittel Revo-2-D-AG-mittel Up to 50 kg

142,0 mm 35,0 mm 28,0 mm

Revo-1-D-mittel Revo-1-D-AG-mittel

Revo-2-D-klein Revo-2-D-AG-klein Up to 25 kg

134,0 mm 35,0 mm 28,0 mm

Revo-1-D-klein Revo-1-D-AG-klein

Revo-2-D-infant Revo-2-D-AG-infant Up to 15 kg

91,0 mm*** 28,0 mm 23,0 mm

Revo-1-D-infant Revo-1-D-AG-infant


** For one hip joint without pelvic connection or upright.

*** Revo-infant has an integrated upright, i.e. not removable. The above stated measurement does not include this section.

**** The suffix "AG" in the article number means we bend the rocker-bar mechanism according to your specifications. For further information please see page 14.




The Partly Restricted Fokus-3-D / -2-D / -1-D Hip Joint A special feature of the Fokus hip joint is

that adduction can be completely blocked

and flexion partly restricted (to a 30

degree step length). For the Fokus-3-D / 2-D this occurs without affecting free

rotation as the joint axis permits 12° of

internal and 12° of external rotation

independent of flexion / extension.

This rotation refers to the maximum

movement of the trunk in relation to the

lower extremity (the legs remain aligned in

the previously chosen walking direction).

The proximal joint section provides the

flexion / extension stop while the distal

section permits rotation.

Partially Restricted

Locked

2-D / 3-D pelvic rotation

3-D with abduction

Fokus-3-D- left


Weight classification ensures that the system is stable, even with large patients.

Unlocking lever requires little effort to operate, aiding independence for weak patients. The lever mechanism can be assembled either facing forwards or to the rear.

Can be detached from the pelvic band, permitting modifications at a subsequent time.

Hip joints can be changed from 1-D to 3-D or from 2-D to 3-D models by exchanging the lower sections. Further modifications are possible by sending the orthosis to us for adjustment.

Adduction restriction, even with strongly non-tenotomized hip adductors.

Spring-loaded flexion stops close independently.

Can also be used where trunk and pelvic movement is restricted.

Compact size allows the orthosis to be worn under clothing and in a wheelchair.


Functions

Stabilization Absence of hip extensors compensated by flexion stop.

Absence of hip abductors compensated by adduction stop.

The step is initiated by shifting the weight onto the supporting leg with simultaneous extension of the hip. Lifting of the swing leg is permitted

by the lateral inclination of the trunk towards the supporting leg side. A detailed explanation of the gait is available from us.

Control Hip extension is permitted by the shifting of weight.

Hip adduction is restricted by the rigid pelvic section and the adduction stop.

Active Hip flexion can take place during the stride.

Hip abduction can take place during the stride. (Fokus-3-D only)

Independence

A lever handle permits easy opening of the locking mechanism with little effort.

In combination with the unilateral Konso, Blocker or Liber knee joints, the thigh cuff can be left off where sufficient knee stability exists and flexion contractures are below 20 degrees.

Movement Fokus-3-D- Fokus-2-D- Fokus-1-D-

Abduction

12 degrees

none

none

Adduction

none

none

none

Internal rotation

12 degrees

12 degrees

none

External rotation

12 degrees

12 degrees

none

Extension

5 degrees

5 degrees

5 degrees

Flexion initial setting (adjustable to:)

12 degrees (max. 45°)



Sitting stop (adjustable to:)

none

none

90 degrees (max. free)

Sitting Function Sitting is a further demand on the hip joint in this lesion area. It must be possible to flex both hip joints at the same time. This requires

releasing the legs from the locked flexion restriction. Sitting down with an applied orthosis is usually carried out as follows: the patient turns with his back towards a seat. He holds onto the seat

with, for example, his left hand and releases the lock at the right-hand side and vice versa. The patient is now standing in maximum flexion.

The lever mechanism allows the joints to be opened with little effort. The force required (friction forces of the flexion lock) can be adjusted to

suit the patient by using a different handle length. In addition, the patient can reduce the opening resistance through a hyperlordosis

movement (posteriorly shifting the center of gravity). To re-engage the locks, the patient straightens up after standing up, the hips are fully

extended and the locks automatically snap into place. The joint axis remains locked while standing or lying by means of a pre-compressed

locking spring.


Gait for Fokus-3-D / -2-D and -1-D Hip Joints

Article-No. *** Weight Classification * Total Length / Width / Thickness**

Fokus-3-D-ex-groß Fokus-3-D-AG-ex-groß

Up to 85 kg

151,0 mm 45,0 mm 36,0 mm Fokus-2-D-ex-groß Fokus-2-D-AG-ex-groß

Fokus-1-D-ex-groß Fokus-1-D-AG-ex-groß

Fokus-3-D-groß Fokus-3-D-AG-groß

Up to 70 kg

127,5 mm 36,0 mm 29,0 mm Fokus-2-D-groß Fokus-2-D-AG-groß

Fokus-1-D-groß Fokus-1-D-AG-groß

Fokus-3-D-mittel Fokus-3-D-AG-mittel

Up to 50 kg

127,5 mm 36,0 mm 29,0 mm Fokus-2-D-mittel Fokus-2-D-AG-mittel

Fokus-1-D-mittel Fokus-1-D-AG-mittel

Fokus-3-D-klein-Plus Fokus-3-D-AG-klein-Plus

Up to 35 kg

114,0 mm 36,0 mm 29,0 mm Fokus-2-D-klein-Plus Fokus-2-D-AG-klein-Plus

Fokus-1-D-klein-Plus Fokus-1-D-AG-klein-Plus

Fokus-3-D-klein Fokus-3-D-AG-klein

Up to 25 kg

112,5 mm 30,0 mm 23,0 mm Fokus-2-D-klein Fokus-2-D-AG-klein

Fokus-1-D-klein Fokus-1-D-AG-klein

Fokus-3-D-infant Fokus-3-D-AG-infant

Up to 15 kg

94,0 mm 25,0 mm 20,0 mm Fokus-2-D-infant Fokus-2-D-AG-infant

Fokus-1-D-infant Fokus-1-D-AG-infant


** As measured at hip joint center (pivot point).

*** The suffix "AG" in the article number means we bend the pelvic band according to your specifications. For further information please see page 14.

Applications HKAFO Salera Hip-Knee-Ankle-Foot Orthosis



Custom Fabricated Pelvic Connection ( -AG )

Your outline should be taken over top of any trunk padding. We strive for exact duplication of your measurements within a +/- 2 mm tolerance.

Please indicate the right and left sides of the outline. As seen from the patient’s perspective.

The outline is taken 2.5 cm above the hip joint placement. The distal edge of the pelvic band sits here.

Please inform us if any hip contractures are present. We can adjust the pelvic band accordingly.

The pelvic band is delivered parallel and without holes. You still have the possibility to make adjustments to the hip joint positioning.

Your custom work order is shipped within 4 workdays. If wished, the hip joints can be sent in advance of the pelvic band.

Rocker Bar Mechanism for Buran and Revo Hip Joints

Custom Fabricated Pelvic Band for Fokus Hip Joints

Custom Fabricated


Functional Classification by Lesion

Leicht-Walker, Foot-Walker and Stehbrett (Standing Platform)

Th-1 - Th-10

Reciprocating Gait Orthosis (RGO) Th-5 - L-3

Salera Hip-Knee-Ankle-Foot-Orthosis (HKAFO)

L-3 - L-5

Knee-Ankle-Foot-Orthosis (KAFO) L-4 - S-1

Ankle-Foot-Orthosis (AFO) L-5 - S-3

Illustration:

Spinal Column provided by Rüdiger-Anatomie Verlag GmbH

Comprehensive information from orthotic management of corresponding lesion levels to gait analysis, with illustrations and comments can be found at www.ortho-systems-inmotion.com



Overview Knee Joints

Locked Knee Joints These self-locking knee joints remain locked during the swing and stance phases, but can be opened for sitting by lifting the drop lock. A special

feature of the Konso knee joint is the option to increase or decrease the locked flexion angles from 0 to 40 degrees in 5 degree intervals. Blocker

knee joints are available, depending on size, in 0, 10, 20 and 30 degrees of flexion.

Konso Pages 17-18

Blocker Pages 19-20

Locked Adjustable Angle Temporary bathing in fresh/salt water

Free Knee Joints (modular) Weak knee extensors are stabilized by the Liber knee joint’s posterior offset axis, and flexion / extension is aligned and guided in the walking

direction. The extension stop dampens noisy stopping actions caused by muscle imbalances. Medial / lateral knee stability is ensured by the medial

condyle and lateral supracondylar support points of the orthosis. A flexion angle of up to 140° is possible. The modular Extensor-N option can be

attached to the Liber knee joint to assist knee extension.

Liber Pages 21-24

Temporary bathing in fresh/salt water

Liber-Extensor-N Pages 21-24

Maximal Flexion Extension Assist


The Adjustable Konso- and Konso-Slide- Knee Joint

A special feature of this weight-classified knee joint is

the option to increase or decrease flexion angles from

0 to 40 degrees in 5 degree intervals.

The self-locking joint remains locked during the

swing and stance phases but can be opened for

sitting by lifting the drop lock.

Adjustable Angle

Locked

Konso-Slide-30- left Konso-30- left Konso only



Available with Slide option: an easy to use, wear-free safety release, which only opens when knee is in full extension and drop lock is relieved (pre-select system).

Contamination resistant, low-maintenance, self-lubricating washers.

CNC machined drop locks ensure optimal self-locking.

Compact size allows the orthosis to be worn under clothing and in a wheel chair.

Apex on lower bar reduced to a minimum.


Functions

Stabilization

Guides the knee in flexion / extension movements during sitting.

Locks to counteract the imbalance between the antagonists.

Compensates for knee instability.

Pendulum gait with knee-ankle-foot-orthoses: Initiation of the step takes place with a shift of weight onto the supporting leg, and simultaneous

extension of the hip. Lifting of the swing leg is permitted by the lateral inclination of the trunk towards the supporting leg side. The swing leg is then

moved forward by rotation of the pelvis.

Control Prevents increases in contractures through fixation of knee.

Guides the knee in flexion / extension during sitting.

Passive

Stabilizes knee extensors that are too weak.

Stabilizes weak knee flexors.

Knee stability is ensured through lateral supracondylar and medial below knee support.

Fitting Temporarily lock knee joint in extension, e.g. post-operatively.

Adjustments to static alignment during the fitting through modification of the flexion angle.

Article No. Weight Classification* Width / Thickness / Drop Lock Thickness **

Konso-40-Plus Konso-Slide-40-Plus

Up to 85 kg (Weight-bearing KAFO)

40,0 mm 22,0 mm 28,0 mm

Konso-40 Konso-Slide-40

Up to 85 kg

40,0 mm 21,0 mm 26,0 mm


Up to 70 kg

36,0 mm 17,0 mm 21,0 mm


Up to 50 kg

32,0 mm 17,0 mm 21,0 mm


Up to 35 kg

30,0 mm 15,0 mm 20,5 mm

Konso-28

Up to 30 kg

28,0 mm 15,0 mm 19,5 mm

Konso-25

Up to 20 kg

25,0 mm 13,0 mm 16,5 mm


** Joint width and thickness measured at joint center (pivot point).

Konso and Blocker knee joints cannot be retrofitted with the Slide. However, Konso-Slide and Blocker-Slide joints can be used without the Slide.

Applications Konso RGO Reciprocating Gait Orthosis HKAFO Hip-Knee-Ankle-Foot Orthosis KAFO Knee-Ankle-Foot Orthosis

Applications Konso-Slide KAFO Knee-Ankle-Foot Orthosis



The Locked Blocker and Blocker-Slide Knee Joint All six sizes of this weight-classified knee joint are available in 10, 20 and 30 degrees of flexion to accommodate all joint positions. Blocker sizes -40, -36 and -32 are also available in 0 degrees. The self-locking joint remains locked during

the swing and stance phases but can be

opened for sitting by lifting the drop lock.

Locked

Blocker only Temporary bathing in fresh/salt water

Blocker-Slide-30-10G- left Blocker-30-10G- left


Available with Slide option: an easy to use, wear-free safety release, which only opens when knee is in full extension and drop lock is relieved (pre-select system).


CNC machined drop locks ensure optimal self-locking.

Compact size allows the orthosis to be worn under clothing and in a wheel chair.

Apex on lower bar reduced to a minimum.


Functions

Stabilization Guides the knee in flexion / extension movements during sitting.

Locks to counteract the imbalance between the antagonists.

Compensates for knee instability.

Pendulum gait with knee-ankle-foot-orthoses: Initiation of the step takes place with a shift of weight onto the supporting leg, and

simultaneous extension of the hip. Lifting of the swing leg is permitted by the lateral inclination of the trunk towards the supporting leg

side. The swing leg is then moved forward by rotation of the pelvis.

Control Prevents increases in contractures through fixation of knee.

Guides the knee in flexion / extension during sitting.

Passive

Stabilizes knee extensors that are too weak.

Stabilizes weak knee flexors.


Article No. (E.g. 10G = 10° Flexion ) Weight Classification* Width / Thickness / Drop Lock **

Blocker-40-00G-Plus Blocker-40-10G-Plus Blocker-Slide-40-00G-Plus

Blocker-Slide-40-10G-Plus

Up to 85 kg (Weight-bearing KAFO)

40,0 mm 22,0 mm 28,0 mm

Blocker-40-00G Blocker-40-10G Blocker-40-20G Blocker-40-30G

Blocker-Slide-40-00G Blocker-Slide-40-10G Blocker-Slide-40-20G Blocker-Slide-40-30G

Up to 85 kg

40,0 mm 21,0 mm 26,0 mm



Up to 70 kg

36,0 mm 17,0 mm 21,0 mm



Up to 50 kg

32,0 mm 17,0 mm 21,0 mm

Blocker-30-10G Blocker-30-20G Blocker-30-30G

Blocker-Slide-30-10G Blocker-Slide-30-20G Blocker-Slide-30-30G

Up to 35 kg

30,0 mm 15,0 mm 20,5 mm


Up to 30 kg

28,0 mm 15,0 mm 19,5 mm


Up to 20 kg

25,0 mm 13,0 mm 16,5 mm


** Joint width and thickness measured at joint center (pivot point).

Konso and Blocker knee joints cannot be retrofitted with the Slide. However, Konso-Slide and Blocker-Slide joints can be used without the Slide.

Applications Blocker RGO Reciprocating Gait Orthosis HKAFO Hip-Knee-Ankle-Foot Orthosis KAFO Knee-Ankle-Foot Orthosis

Applications Blocker-Slide KAFO Knee-Ankle-Foot Orthosis



The Free Liber and Liber-Extensor Knee Joint A special feature is that the posterior offset is proportionally adjusted to body size through the size classification. Unrestricted flexion / extension are actively

permitted via the knee extensor musculature. The free moving joints are

offset posteriorly to increase standing

stability and avoid skin pinching during

flexion.

Liber-28 left

Maximal Flexion Liber-Extensor-N Maximal flexion - Liber

Force Options Extensor-N Liber-Extensor-N-28 left Liber only



Extensor-N option available for knee extension assist.

Securing bushing with anti-rotation lock prevents accidental disassembly of joint.


Extension stop ensures quiet stopping action during extension of the joint.


Functions

Stabilization Knee instability is compensated.

The knee is guided in flexion / extension movements.

Pendulum gait with knee-ankle-foot orthoses: With the initiation of the step, the weight is shifted onto the supporting leg with

simultaneous extension of the hip. Lifting of the swing leg is permitted by the lateral inclination of the trunk towards the supporting leg side.

The swing leg is then moved forward by rotation of the pelvis.

Support Weaker knee extensors are stabilized by the posterior offset axis.

The Extensor-N- assists knee extension.

Control Flexion / extension during walking is aligned in the walking direction.

The knee is guided in flexion / extension during sitting.

Active Knee extensors are not restricted. The Extensor-N- assists knee extension.

Passive The extension stop dampens the noisy stopping actions in full extension.


Article No. Class Length Width ** Thickness ** Gram ** Posterior

Offset mm mm mm mm

Liber-34 Liber-Extensor-N-34 Extensor-N-34 *

Up to 85 kg

123 34 19 210 g

22,0

Liber-30-Plus Liber-Extensor-N-30-Plus Extensor-N-30-Plus *

Up to 70 kg

112 30 16 143 g

17,5


Up to 50 kg

112 30 16 143 g

17,5


Up to 40 kg

103 28 14 111 g

16,5

Liber-25-Plus Liber-Extensor-N-25-Plus Extensor-N-25-Plus *

Up to 30 kg

93 25 12 76 g

15,5


Up to 20 kg

93 25 12 63 g

15,5


Up to 15 kg

73 22 12 38 g

12,5

* Liber knee joints can be retrofitted with the Extensor at any time.

** Width measured at joint center (pivot point). Thickness includes complete joint assembly (bushing, cover, screw). Weight is for one knee joint without uprights for one leg.

The configurator at www.ortho-systems-inmotion.com helps you in choosing the proper joints for your orthosis. The system guides you step by step through the selection process to the shopping cart.

Applications Liber HKAFO Salera Hip-Knee-Ankle-Foot Orthosis KAFO Knee-Ankle-Foot Orthosis

Applications Liber-Extensor-N HKAFO Salera Hip-Knee-Ankle-Foot Orthosis

KAFO Knee-Ankle-Foot Orthosis



New Possibilities with Modular Knee Joints Just adding extension force to an orthosis is not enough. The additional force must also be properly adjusted and accepted by the patient.

How much force should be provided? At what point during flexion should maximum force take place? How much flexion angle should be

allowed? These variables must, and can, be exactly matched to the patient using the Extensor-N.

Torque Adjustment

By changing the lever arm, the required force can be

fine-tuned to the patient.

Towards joint 67 % 78 % 89 % 100 % 111 % 122 % 133 % Away from joint

lighter force - middle - stronger force

Examples

Illustration: KAFO with Liber-Extensor-N-28

Lever arm middle = 100% Force

Knee flexion stop 115°

Illustration: KAFO with Liber-Extensor-N-28

Lever arm middle = 100 % Force

Knee flexion stop 95°

Illustration: Knee flexed to 95° stop


Knee Flexion Angle Influence on Torque

Knee flexion stop 125 ° At 50 - 55 ° flexion = 100% torque

At full knee extension and maximum lever arm = 68% torque; minimum lever arm = 48% torque








Unrivalled Guarantee Our goal is to have our products maintain their full function throughout their lifetime without constraints. For this reason, our products are

continually subject to improvement. We fully guarantee our products against all applicable incidents with free replacement. The following

table displays the product group and its corresponding warranty period. During this time, all parts necessary for maintaining full function

will be replaced free of charge. Even if breakage or loss occurs in the workshop, we provide a replacement (not in the case of specially

discounted goods). This assumes compliance with the functional and weight classifications, as well as proper fabrication by qualified

orthopedic technicians following our instructions for use guidelines.

Hip Joint Knee Joint Ankle Joint Podium Closure Systems Tools

Aufbau- 24 Months

Basic- 20 Months

Blocker- 20 Months

Blocker-Slide- 20 Months

Buran- 20 Months

Ela-Dor- 20 Months

Ela-Fl-Ex- 20 Months

Fokus- 20 Months

Foot-Walker- 24 Months

Gleiter- 19 Months

Jumper- 20 Months

Konso- 20 Months

Konso-Slide- 20 Months

Leicht-Walker- 24 Months

Liber- 20 Months

Liber-Extensor-N- 20 Months

Mammut- 19 Months

Naveta- 20 Months

Revo- 20 Months

Shuttle- 20 Months

Shuttle-Uno- 20 Months

Shuttle-Flex- 20 Months

Shuttle-Turbo- 20 Months

Shuttle-Booster- 20 Months

Stab- 20 Months

Stehbrett- 24 Months

Werkzeug- 48 Months

Zwinge 20 Months

Here’s how it works: Upon receiving notification of the problem from the responsible technician, replacement parts are promptly sent out to the orthopedic laboratory. Defective parts are then returned to us for credit (and/or photos if applicable).

Delivery: All replacement parts are shipped on the same day if possible. No shipping charges will be billed, including express or Saturday service if necessary (to addresses within Europe). Return of defective parts is the responsibility of the sender.

The warranty period for each item you have purchased from us can be viewed under ‘Shipped Products’ on our website.

Our guarantee is specifically limited to products from Ortho-Systems and does not apply to labor and material costs incurred by the purchaser. Damages to third party materials as well as improper applications are excluded from the guarantee.


Overview Ankle Joints Simply put, grinding joint stops is unnecessary. All ORTHO-SYSTEMS ankle joints use the same interchangeable movement stops to limit plantar-

and dorsiflexion (except the Basic joint with threaded pins). With joints using a cartridge system, this is even possible without disassembling the

joint (excl. joints with attached power unit). All our joints facilitate stumble-free walking by resisting foot drop during swing phase, either using power

units (e.g. Shuttle-Turbo), tension bands (e.g. Ela-Dor) or sustained joint friction (e.g. Jumper). All upper joint sections are CNC-machined from one

piece and assembled with maintenance free washers calibrated to 1/100th of a millimeter to ensure quality and durability. Assistance in narrowing

joint selection according to diagnosis, orthosis type and body weight can be found on our website.

Shuttle-Turbo Pages 35 - 36

Addi

tiona

l Inf

orm

atio

n on

Pag

es 2

7 - 3

0

Shuttle-Uno-front Pages 33 - 34

Shuttle-Uno-back Pages 33 - 34

Shuttle-Booster Pages 37 - 38

Shuttle Pages 41 - 42

Shuttle-Flex Pages 39 - 40

Adjustable Alignment Increased Range of Motion

Ela-Fl-Ex Pages 43-44

Foot Retaining Function

Ela-Dor Pages 43 - 44

Dorsiflexion Assist Force Options

Naveta Pages 45 - 46

Cartridge System

Jumper Pages 47 - 48

Limited Double Action Temporary bathing in fresh/salt water

Basic Pages 49 - 50

Adjustable Alignment /

Limited Double Action Foot Retaining Function


New Possibilities with Modular Ankle Joints

History For the longest time, orthotic ankle joints limited motion (plantar- and dorsiflexion) using movement stops without any, or only insufficient, resistance

to force. Orthoses with these joints always permitted the maximum allowed dorsiflexion during standing, even though the movement was only

necessary for walking. This inefficient standing position required additional muscle force at the knee and hip joints. The first solution to this loss of

energy was provided in 1999 with the development of the L carbon spring. While the carbon spring restricted forward movement to taking place

during walking only, it unfortunately prevented any plantarflexion. In 2011, the V-joint with power units made, for the first time, an erect standing

position possible while allowing plantar- and dorsiflexion during gait. Further information can be found under "Comparison of Ankle Joints with

Power Units" on pages 15-16.

An orthotic system today shouldn’t just support and guide the skeleton. The system also needs to compliment remaining musculature and provide

correction if necessary. All forces applied by orthotic knee and ankle joints must be specifically configured to the needs of the patient and then fine-

tuned. The Shuttle system was designed to accommodate all patients.

The Shuttle ankle joint provides the framework to support and guide the skeleton. The adjustable stirrup

enables alignment modifications of up to 15° to accommodate

any plantar- or dorsiflexion contractures.

Interchangeable movement stops with a range of motion up to

15° plantar- and dorsiflexion adapt movement to ankle joint

conditions.

Please note: We strive to construct our joints as small as possible. However, we don’t make any compromises when it comes to durability and function. The

more functions an orthotic joint possesses (ensured throughout its lifespan), the larger it will be. The modular design of the Shuttle system opens up

more possibilities for the patient and increases acceptance through the ability to change or remove options.


Shuttle-Turbo (Turbo option) Interchangeable power units add resistance to plantar- and

dorsiflexion. Force options range from light (blue)→ mild→

medium→ strong (yellow).

Shuttle-Uno-front (Uno-front option) The anteriorly placed interchangeable power unit supports

calf musculature by adding resistance to dorsiflexion. Force

options range from light (blue)→ mild→ medium→ strong

(yellow). The optional tension bands add light resistance

which dampens heel strike and provides dorsiflexion assist

during the swing phase (blue arrow pointing up).

Shuttle-Uno-back (Uno-back option) The posteriorly placed interchangeable power unit provides

counter-resistance to a plantar-flexed foot position. Force

options range from light (blue)→ mild→ medium→ strong

(yellow). The optional tension bands add light resistance

which smooth rollover during stance phase (blue arrow

pointing up).

Shuttle-Booster (Booster option) Interchangeable power units add resistance to plantar- and

dorsiflexion. Force options range from light (blue)→ mild→

medium→ strong→ maximum (calf muscle replacement).

Products 10.0

Notes


Choose the Right Force! When supplying an orthosis, it is not only important to select the right components, but of equal importance to choose the correct force. We

differentiate between 13 weight classes offering 52 power units in total for the Shuttle-Turbo and Shuttle-Uno ankle joints.

Bod

y W

eigh

t in

Kg.

66-70 1100

61-65

56-60

51-55

46-50

41-45

36-40

31-35

26-30

21-25

16-20

11-15

6-10 50 Required Force in Newtons

Ligh

t

Mild

Mod

erat

e

Stro

ng

Example The force must be matched to the weight of the patient! One should not be tempted to use a smaller joint, with the argument that the patient moves

very little or has only a low degree of activity. A patient with a body weight of 46-50 kg cannot be supplied with an ankle joint and force unit which is

designated for 36-40 kg. The below example illustrates this. This 46-50 kg patient is fitted with forces light (blue) and strong (yellow). If the same

patient is supplied with a smaller 36-40 kg ankle joint, in order to achieve the equivalent force he could be fitted with the moderate (green) unit, but

the strong (yellow) force is not obtainable.

correct 46-50 correct correct

41-45

too small 36-40 possible not possible

Note: We are the only manufacturer to offer such a selection of weight classes (every 5kg = 13 total). Anything less simply does not meet our functional

standards. Equally important is the calibration of forces specific to each weight class. Interchanging forces from blue→ green→ grey→ yellow

mustn’t limit function but instead make it possible!


Ankle Joints with Power Units Compared

The following table compares currently available orthotic ankle joints which make use of a so-called power unit to produce movement

through strong tension or counter force. Compared were two fixed shape L-carbon springs with movement in dorsiflexion, and three

adjustable alignment ankle joints which produce plantar- and dorsiflexion forces that can be dynamically adjusted to gait. Orthotic joints not

possessing similar characteristics, forces, or applications were left out.

Alignment An orthosis using a power unit provides an energy saving and harmonious gait while enabling sturdy and upright standing. The power unit

only permits ankle joint movement when the body’s center of gravity is shifted during the stance phase. During swing phase the foot is

returned to the neutral position.

AFO Shuttle-Booster ORTHO-SYSTEMS

Shuttle-Uno Shuttle-Turbo

ORTHO-SYSTEMS Neuro V Joint * L-Feder

Spring and Ankle Seven **

Properties

Calf muscle replacement

with defined force and permits min. 10° dorsiflexion by e.g.

muscle paralysis

yes

according to weight classification from manufacturer and

corresponding selection of maximum high force power units

not possible

power units produce only light to strong forces

not possible

due to limited selection of power units and reduced range of motion

when increasing force

yes

according to weight classification from manufacturer

Muscle assisting

with supporting forces in plantar- and dorsiflexion by e.g. CP

patients

yes

suitable power units available for all requirements

yes

suitable power units available for all requirements

yes

using the corresponding power unit

not possible

reducing stiffness increases dorsiflexion angle and risk of

breakage

Rotational stability

by insufficient torsional stability the knee goes into valgus and the

hip joint rotates inward

very good

precisely defined joint sizes using weight classification

very good

precisely defined joint sizes using weight classification

good

depending on joint size chosen by configurator

medium

flexion sacrifices rotational stiffness

Breakage

by exceeding the maximum range of motion

not possible

range of motion is limited by the movement stop and power unit

not possible

range of motion is limited by the movement stop and power unit

not possible

dorsiflexion is limited by power unit

possible

with overweight or very active patients Spring: due to the 1/3

length guidelines Ankle-Seven: spring length not

defined

Functions

Dorsiflexion

up to 15 degrees

irrespective of chosen power unit and can be specified using

changeable stops

up to 15 degrees


changeable stops

up to 15 degrees possible

however, the stronger the force, the less range of motion

not defined

no specifications from manufacturer

Plantarflexion

.

up to 15 degrees


changeable stops

up to 15 degrees


changeable stops

up to 15 degrees possible

however, the stronger the force, the less range of motion.

not possible

due to unfavorable leverage ratios, even if specified by

manufacturer

Downhill walking

possibility to negotiate downhill slopes

possible

using accordingly reduced plantarflexion force

possible


possible


not possible

as no plantarflexion is present

Uphill walking

possibility to negotiate inclined surfaces

possible

using accordingly reduced dorsiflexion force

possible


possible


not possible

too stiff (application is calf muscle replacement)


AFO Shuttle-Booster ORTHO-SYSTEMS

Shuttle-Uno Shuttle-Turbo

ORTHO-SYSTEMS Neuro V- Joint * L-Feder

Spring und Ankle Seven **

Anomalies

Plantarflexion contractures

of the patient

no problem

no restrictions

no problem

no restrictions

no problem

no restrictions

severely restricted

Spring: no specifications from manufacturer Ankle-Seven: 115

degrees Negative heel necessary for both

Dorsiflexion contractures

of the patient

no problem

no restrictions

no problem

no restrictions

no problem

no restrictions

not possible

due to the predetermined shape

Pronounced toe-out

of the patient

no problem

no restrictions

no problem

no restrictions

no problem

no restrictions

limited

Overweight

patients

no problem

within the weight classification

no problem

within the weight classification

limited

due to the limited selection of power units within the weight

classification

limited

Spring: due to the 1/3 length guidelines

Ankle-Seven: spring length not defined

Patient Specific Adjustments

Range of motion stops

specifically tailored to patient needs

adjustable

can be specified irrespective of chosen power unit

adjustable

can be specified irrespective of chosen power unit

limited adjustability

range of motion influences power unit selection

not possible

dependent on construction

Power unit

specifically tailored to patient needs

adjustable

can be specified irrespective of range of motion.

adjustable

can be specified irrespective of range of motion.

limited adjustability

as it influences range of motion

not possible

dependent on construction

Alignment adjustments of finished orthosis

Independent adjustment of ankle angle (sagittal plane)

at any time

up to 15 degrees

at any time

up to 15 degrees

at any time

up to 10 degrees

not possible

due to the predetermined shape

Conversion of orthotic joint on finished orthosis

E.g. according to improvement or deterioration of patient

circumstances

at any time

conversion to Shuttle-Turbo, Shuttle-Uno-back, Shuttle-Uno-front, Shuttle-Flex, or standard

Shuttle joint

at any time

conversion to Shuttle-Booster, Shuttle-Uno-back, Shuttle-Uno-front, Shuttle-Flex, or standard

Shuttle joint

not possible

by changing joint parts

not possible

due to construction

Orthotic shoes

normal size

(orthotic shoes)

normal size

(orthotic shoes)

normal size

(orthotic shoes)

+1 shoe size

(orthotic shoes )

Additional

Noise

movement stops

quiet

reduced through various preventative measures

quiet

reduced through various preventative measures

clearly audible

contact of power unit with joint stops

none

due to construction

Pre-loading

leans in dorsiflexion with minimal force applied

not necessary

sturdy standing without wavering

not necessary


not necessary


up to 4mm

Spring: until the carbon spring supports itself on the foot piece.

Ankle-Seven initial force build-up somewhat reduced.

Defined joint axis

yes

movement takes place about the joint axis

yes

movement takes place about the joint axis

yes

movement takes place about the joint axis.

no

due to construction

* The Neuro V is an orthotic joint by which the power units sit in a V-position. In 1999 a patent was applied for the L-Feder (today known as the Spring) by Thomas Böckh together with Gottinger Handelshaus GbR. Consequently, named patent holders are F.Gottinger, N.Günther and T.Böckh. **The Ankle Seven is independently manufactured and marketed by Otto Bock under license. **The names Spring and Ankle Seven are registered trademarks of Gottinger Handelshaus and Otto Bock respectively.

(Green is good, yellow is passable, red shouldn’t be)


The Unique Shuttle-Uno Ankle Joint The special feature is the unique combination of

compression and tensile forces, supplied by a

unit positioned on only one side of the ankle

joint. Applied force in one direction is produced

by interchangeable power units, with force

options ranging from light→ mild→ medium→ strong. Optional tension bands supply light force in the opposite direction.

Should a higher force power unit be required, as

in the case of calf muscle replacement,

the Shuttle-Booster ankle joint must be used.

As with all other Shuttle joint models, the ankle angle can be adjusted at any time according to

patient circumstances

This double action ankle joint uses an

interchangeable cam system for easy

adjustment of plantar- and dorsiflexion stops up to 15 degrees. Range of motion is

independent of, and therefore not affected by

power unit selection.

Adjustable Alignment

Increased Range of Motion

Shuttle-Uno-back- right

Shuttle-Uno-front- right Foot Retaining Function

e.g. Light Force e.g. Strong Force Force Options Force Options Cartridge System

Shuttle Retrofits Possible: Light Mild Medium Strong Maximum

Conversion to Shuttle-Turbo Shuttle-Flex Shuttle-Booster

Available Joint Sizes 22 to 34 25 to 32

Weight Classification 6 to 70 Kg 25 to 55 Kg


Functions

Control

Adjustable plantarflexion according to patient requirements.

Alignment of flexion / extension in the walking direction.

Limits dorsiflexion according to knee extensor musculature. Adjustable dorsiflexion to accommodate knee contractures.

Guides the ankle joint in dorsiflexion / plantarflexion during sitting.

Active In dorsiflexion using a changeable power unit / tension bands.

In plantarflexion using a changeable power unit / tension bands.

Article No. Classification Width */ Height */ Height with Cap */ H-Thick.**/ J-Thick.** Applications

Shuttle-Uno-back-34 Shuttle-Uno-front-34

Up to 70 kg

KAFO / AFO


Up to 55 kg

55,0 mm 72,0 mm 79,5 mm 17,0 mm 21,0 mm

KAFO / AFO


Up to 45 kg

50,0 mm 67,0 mm 75,0 mm 15,0 mm 20,0 mm

KAFO / AFO


Up to 35 kg

46,5 mm 55,5 mm 60,5 mm 15,0 mm 18,0 mm

KAFO / AFO


Up to 25 kg

41,5 mm 55,5 mm 58,0 mm 13,0 mm 18,0 mm

KAFO / AFO


Up to 15 kg

34,5 mm 51,5 mm 54,5 mm 11,0 mm 15,5 mm

KAFO / AFO

The configurator at www.ortho-systems-inmotion.com helps you in choosing the proper joints for your orthosis. The system guides you step by step through the selection process to the shopping cart.

* Width measured at joint center (pivot point). Height is measured length of Uno housing; with and without the cap for tension bands.

** H-Thick. is measured thickness of Uno housing. J-Thick. is thickness of Shuttle joint measured at joint center (pivot point) and includes complete joint assembly (bushing, cover, screw).

Applications KAFO Knee Ankle Foot Orthosis

AFO Ankle Foot Orthosis



The Strong Shuttle-Turbo Ankle Joint A special feature is the compact power unit

which adds variable resistances to plantar- and

dorsiflexion. Force options range from light→

mild→ medium→ strong.

Should a higher force power unit be required, as

in the case of calf muscle replacement, the

Shuttle-Booster ankle joint must be used.

As with all Shuttle joint models, the ankle angle

can be adjusted at any time according to patient

circumstances.



adjustment of plantar- and dorsiflexion stops up

to 15 degrees. Range of motion is independent

of, and therefore not affected by power unit

selection.



Shuttle-Turbo- right


e.g. Light Force e.g. Medium Force Force Options Cartridge System

Shuttle Retrofits Possible Light Mild Medium Strong Maximum

Conversion to Shuttle-Uno-back Shuttle-Uno-front Shuttle-Flex Shuttle-Booster




Functions

Control





Active In dorsiflexion using a changeable power unit.

In plantarflexion using a changeable power unit.

Article No. Classification * Width **/ Height **/ H-Thick.***/ J-Thick.*** Applications

Shuttle-Turbo-34

Up to 70 kg

KAFO / AFO

Shuttle-Turbo-32

Up to 55 kg

78,0 mm 72,0 mm 17,0 mm 21,0 mm

KAFO / AFO

Shuttle-Turbo-30

Up to 45 kg

70,0 mm 67,0 mm 15,0 mm 20,0 mm

KAFO / AFO

Shuttle-Turbo-28

Up to 35 kg

65,0 mm 55,5 mm 15,0 mm 18,0 mm

KAFO / AFO

Shuttle-Turbo-25

Up to 25 kg

58,0 mm 55,5 mm 13,0 mm 18,0 mm

KAFO / AFO

Shuttle-Turbo-22

Up to 15 kg

47,0 mm 51,5 mm 11,0 mm 15,5 mm

KAFO / AFO


** Width measured at joint center (pivot point). Height is measured length of Turbo housing.

*** H-Thick. is measured thickness of Turbo housing. J-Thick. is thickness of Shuttle joint measured at joint center (pivot point) and includes complete joint assembly (bushing, cover, screw).

Applications KAFO Knee Ankle Foot Orthosis




The Powerful Shuttle-Booster Ankle Joint A special feature are the power units which add

variable and independent resistances to plantar-

and dorsiflexion. Force options range from

light→ mild→ medium→ strong→ maximum.

The maximum force power unit allows it to be

used in cases where calf muscle replacement is

required.

As with all Shuttle joint models, the ankle angle


circumstances.



adjustment of plantar- and dorsiflexion stops up

to 15 degrees. Range of motion is independent

of, and therefore not affected by power unit

selection.



Shuttle-Turbo- right


e.g. Light Force e.g. Strong Force Force Options Cartridge System


Conversion to Shuttle-Turbo Shuttle-Uno-back Shuttle-Uno-front Shuttle-Flex

Available Joint Sizes 22 to 34

Weight Classification 6 to 70 Kg


Functions

Control





Active In dorsiflexion using a changeable power unit.

In plantarflexion using a changeable power unit.

Article No. Classification * Width **/ Height **/ H-Thick.***/ J-Thick.*** Applications

Shuttle-Booster-32

Up to 55 kg

78,0 mm 77,5 mm 17,0 mm 21,0 mm

AFO

Shuttle-Booster-30

Up to 45 kg

72,0 mm 71,0 mm 17,0 mm 20,0 mm

AFO

Shuttle-Booster-28

Up to 35 kg

67,0 mm 60,5 mm 18,0 mm 18,0 mm

AFO

Shuttle-Booster-25

Up to 25 kg

59,5 mm 60,5 mm 15,0 mm 18,0 mm

AFO


** Width measured at joint center (pivot point). Height is measured length of Booster housing.

*** H-Thick. is measured thickness of Booster housing. J-Thick. is thickness of Shuttle joint measured at joint center (pivot point) and includes complete joint assembly (bushing, cover, screw).

Applications AFO Ankle Foot Orthosis



The Centering Shuttle-Flex Ankle Joint A special feature is the light, centering force

provided independent of the joint stops.

As with all Shuttle ankle joints, the ankle angle


circumstances.



adjustment of plantar- and dorsiflexion stops up to 15 degrees.

Changing movement stops does not require disassembly of the joint.



Shuttle-Flex- right


Temporary bathing in fresh/salt water Force Options Cartridge System


Conversion to Shuttle-Turbo Shuttle-Uno-back Shuttle-Uno-front Shuttle-Booster




Functions

Control

Adjustable plantarflexion according to patient perception.




Support

Active dorsiflexion assist function using elastic bands.

Active centering forces using proximal and dorsal elastic bands act on the body’s center of gravity.

Active plantarflexion assist function using elastic bands.

Article No. Classification* Width ** / Power Unit** / Thickness** Applications

Shuttle-Flex-34

Up to 70 kg

HKAFO / KAFO / AFO ***

Shuttle-Flex-32

Up to 55 kg

32,0 mm 65 and 60 mm 21 mm

HKAFO / KAFO / AFO ***

Shuttle-Flex-30

Up to 45 kg

30,0 mm 61 and 55 mm 20 mm

HKAFO / KAFO / AFO

Shuttle-Flex-28

Up to 35 kg

28,0 mm 55 and 45 mm 18 mm

HKAFO / KAFO / AFO

Shuttle-Flex-25

Up to 25 kg

25,0 mm 52 and 43 mm 18 mm

HKAFO / KAFO / AFO

Shuttle-Flex-22

Up to 15 kg

22,0 mm 44 and 41 mm 15,5 mm

HKAFO / KAFO / AFO


** Width measured at joint center (pivot point). Power unit width measured at height of bracket and nose. Thickness includes complete joint assembly (bushing, cover, screw).

*** For KAFO and AFO patients over 50kg with extreme demands use Jumper-Plus or Jumper-Extra.

Applications HKAFO Hip Knee Ankle Foot Orthosis

KAFO Knee Ankle Foot Orthosis




The Adaptable Shuttle- Ankle Joint A special feature of the Shuttle joint is the ability to

independently adjust the ankle angle according to

patient circumstances at any time.

This variable, double-action ankle joint uses an

interchangeable cam system to quickly change movement stops with range of motion up to 15° dorsiflexion and 15° plantarflexion.

Changing movement stops does not require disassembly of the joint.

Maintenance free, sustained joint friction resists

foot drop throughout the lifetime of the joint.


Increased Range of Motion possible *


Temporary bathing in fresh/salt water Shuttle- right Cartridge System


Conversion to Shuttle-Turbo Shuttle-Uno-back Shuttle-Uno-front Shuttle-Flex Shuttle-Booster



* When using the Shuttle ankle joint without a power unit, we advise limiting range of motion to prevent the ground reaction force from moving outside the standing space. Increased range of motion stops are recommended for joints generating a counter force.


Functions

Control





Article No. Weight Classification * Width ** / Thickness ** Applications

Shuttle-34

Up to 70 kg

RGO / HKAFO / KAFO / AFO ***

Shuttle-32

Up to 55 kg

32,0 mm 21,0 mm


Shuttle-30

Up to 45 kg

30,0 mm 20,0 mm

RGO / HKAFO / KAFO / AFO

Shuttle-28

Up to 35 kg

28,0 mm 18,0 mm


Shuttle-25

Up to 25 kg

25,0 mm 18,0 mm


Shuttle-22

Up to 15 kg

22,0 mm 15,5 mm



** Width measured at joint center (pivot point). Thickness includes complete joint assembly (bushing, cover, screw).



HKAFO Hip Knee Ankle Foot Orthosis

KAFO Knee Ankle Foot Orthosis




The Supporting Ela- Ankle Joint A special feature of the Ela ankle joint

is foot-lifting tension can be individually adjusted to patient

requirements using the different

elastic bands provided. Movement

stops can be quickly changed at any

time without disassembly of the joint or removal of the bands. The

joint can be temporarily locked, for

example post-operatively, or quickly

and easily adjusted to fit different

ranges of motion.

Dorsiflexion assist during swing

phase retains its function throughout

the lifetime of the joint.

Limited Double Action

Ela-Dor- Dorsiflexion Assist

Ela-Dor- right

Ela-Fl-Ex- right

Ela-Fl-Ex- Foot Retaining Function

Temporary bathing in fresh/salt water Force Options Force Options Cartridge System

Can be used first, e.g., for post-operative static bracing and later as a dynamic walking orthosis.

Simple reversion to a Naveta Ankle Joint (resists foot drop using sustained joint friction) by removing elastic band fixture.

Slender one-piece construction achieved through integration of the upright into the joint allows for a better connection to a knee joint and an overall slimmer calf section of the orthosis.


Functions

Control





Support Ela-Dor: active foot lifting using elastic bands.

Ela-Fl-Ex: active dorsiflexion or plantarflexion tension using elastic bands.

Article No. Weight Classification * Width ** / Thickness** Applications

Ela-Dor-38

Up to 85 kg

55,0 mm 22,0 mm


Ela-Fl-Ex-38

66,0 mm

KAFO / AFO ***

Ela-Dor-34

Up to 70 kg

49,0 mm 19,0 mm


Ela-Fl-Ex-34

58,0 mm

KAFO / AFO ***

Ela-Dor-32

Up to 50 kg

47,0 mm 19,0 mm


Ela-Fl-Ex-32

55,0 mm

KAFO / AFO

Ela-Dor-28

Up to 35 kg

41,0 mm 14,5 mm


Ela-Fl-Ex-28

47,0 mm

KAFO / AFO

Ela-Dor-25

Up to 25 kg

37,0 mm 14,5 mm


Ela-Fl-Ex-25

44,0 mm

KAFO / AFO

Ela-Dor-22

Up to 15 kg

35,0 mm 14,0 mm


Fla-Fl-Ex-22

40,0 mm

KAFO / AFO




Ela-Dor- Applications RGO Reciprocating Gait Orthosis HKAFO Hip-Knee-Ankle-Foot Orthosis KAFO Knee-Ankle-Foot Orthosis AFO Ankle-Foot-Orthosis

Ela-Fl-Ex- Applications KAFO Knee-Ankle-Foot Orthosis

AFO Ankle-Foot-Orthosis



The Practical Naveta Ankle Joint A special feature of the Naveta ankle

joint is the ability to quickly change

movement stops without disassembly

of the joint. The joint can be temporarily

locked, for example post-operatively, or

quickly and easily adjusted to fit different

ranges of motion.

Maintenance free, sustained joint

friction resists foot drop throughout the

lifetime of the joint.



Cartridge System

Temporary bathing in fresh/salt water Naveta-28- left


Quiet movement stops promote acceptance.

Quick and easy adjustment of plantar- and dorsiflexion stops can be performed on-site.

Resists foot drop during swing phase using sustained joint friction.

Slender one-piece construction achieved through integration of the upright into the joint allows for a better connection to a knee joint and an overall slimmer calf section of the orthosis.


Functions

Control






Naveta-38

Up to 85 kg

38,0 mm 22,0 mm


Naveta-34

Up to 70 kg

34,0 mm 19,0 mm


Naveta -32

Up to 50 kg

32,0 mm 19,0 mm


Naveta -28

Up to 35 kg

28,0 mm 14,5 mm


Naveta -25

Up to 25 kg

25,0 mm 14,5 mm


Naveta -22

Up to 15 kg

22,0 mm 14,0 mm





Applications RGO Reciprocating Gait Orthosis HKAFO Hip-Knee-Ankle-Foot Orthosis KAFO Knee-Ankle-Foot Orthosis AFO Ankle-Foot-Orthosis



The Versatile Jumper Ankle Joint The Jumper ankle joint is an all-purpose, locked

or limited double action ankle joint which

ensures a stable system even for large patients with extreme demands. By disassembling the

joint, movement stops can be changed at any

time. The joint can be temporarily locked, for

example post-operatively, or easily adjusted to fit

different ranges of motion.

Maintenance free, sustained joint friction resists

foot drop throughout the lifetime of the joint.



Temporary bathing in fresh/salt water Jumper-28 left Movement Stop



Interchangeable cam system enables quick and easy adjustment of plantar- and dorsiflexion stops.



Functions

Control






Jumper-38-Extra

Up to 85 kg

38,0 mm 20,0 mm

Extreme demands KAFO / AFO

Jumper-38-Plus

Up to 85 kg

38,0 mm 20,0 mm

KAFO / AFO

Jumper-38

Up to 85 kg

38,0 mm 20,0 mm

RGO / HKAFO

Jumper-34-Extra

Up to 70 kg

34,0 mm 16,0 mm

Extreme demands KAFO / AFO

Jumper-34-Plus

Up to 70 kg

34,0 mm 16,0 mm

KAFO / AFO

Jumper-34

Up to 70 kg

34,0 mm 16,0 mm

RGO / HKAFO

Jumper-32

Up to 50 kg

32,0 mm 16,0 mm


Jumper-28

Up to 35 kg

28,0 mm 13,0 mm


Jumper-25

Up to 25 kg

25,0 mm 13,0 mm


Jumper-22

Up to 15 kg

22,0 mm 12,0 mm





HKAFO Salera Hip-Knee-Ankle-Foot Orthosis

KAFO Knee-Ankle-Foot Orthosis AFO Ankle-Foot-Orthosis



The Little Basic Ankle Joint The double action ankle joint for

little ones uses threaded pins for

quick and easy adaptations to

alignment and range of motion.

Maintenance free, sustained

joint friction resists foot drop

throughout the lifetime of the

joint.

Adjustable Alignment / Limited Double Action *


Illustration: Basic-18 left



* Adjustments to alignment and movement stops can be quickly and easily performed at any time.



Functions

Control





Article no. Weight Classification * Width ** / Thickness** Applications

Basic-18

Up to 10 kg

18,0 mm 8,0 mm





HKAFO Salera Hip-Knee-Ankle-Foot Orthosis

KAFO Knee-Ankle-Foot Orthosis AFO Ankle-Foot-Orthosis



The Leicht-Walker and Foot-Walker with Superstructure The Leicht-Walker and Foot-Walker utilize an innovative rocker design in combination with a custom made body shell.

Unique adjustment options are designed to

make fitting the Walker exact, effective and efficient.

The custom made body shell used in

conjunction with the Walker supports

primary deformities and selectively

counters possible secondary deformities.

The superstructure used to attach the shell

allows for all adjustments and can be

lengthened for growth.

Walker-HG-KS Walker-ST-KS

Leicht-Walker (Podium only)

Foot-Walker (Podium only) Walker-HG Walker-ST

Other special features

Lightweight model Leicht-Walker in carbon construction with low center of gravity for increased stability. Standard model Foot-Walker with low center of gravity for increased stability.

Simple adjustment of the vertical axis in four directions without dismantling the unit.

Simple individual adjustment of stride length without dismantling the unit.

Simple stride width adjustment without dismantling the unit.

Release mechanism allows body shell to be donned separately while lying down.

Can be adapted to the Stehbrett Standing Platform or next size Walker at any time.

Unrestricted abduction positioning of the hips is possible. Upon request an extra wide connection plate can be supplied (no extra charge).


Functions of the Leicht-Walker and Foot-Walker Control

Custom adjustments permit unrestricted walking and standing.

Any undesired curving gait can be prevented by increasing the force of the damper unit. Gait: When the body’s center of gravity is shifted, the Walker tilts laterally, producing a forward step. The swing leg stops when reaching the stride length stop. As the weight is shifted onto the swing leg, it becomes the supporting leg and the step cycle starts again. To change direction, the user sustains the weight shift on the supporting leg. Now the damper unit causes the swing leg and the entire Walker construction to turn inwards towards the supporting leg. The user then sets down the free leg and shifts the center of gravity onto the new supporting leg in order to simultaneously relieve the weight from the former supporting leg. The new free leg now turns in the new walking direction. By repeating this sequence, it is possible to change direction or turn around.

Functions of the adapter unit

Handling

Body shell and superstructure can be separated from the walking unit for easier donning.

Body shell and superstructure can be separated from the walking unit for storage. Body shell and superstructure can be separated from the walking unit and transferred to the Stehbrett Standing Platform.

Body shell and superstructure can be separated from the walking unit for transport.

Body shell and superstructure can be separated to change the standing unit and/or Foot-Walker as the patient grows.

Functions of the body shell

Stabilization and Support

Lack of muscular strength is compensated by the body shell. Optimized support guides physical growth.

Support for primary trunk and pelvic deformities and counteraction of possible secondary deformities.

Supporting of leg and foot deformities and counteraction of possible secondary deformities.

Article-No.

Large Medium Small

Leicht-Walker-HG-KS-groß Leicht-Walker-HG-KS-mittel Leicht-Walker-HG-KS-klein

Leicht-Walker-HG-groß Leicht-Walker-HG-mittel Leicht-Walker-HG-klein

Leicht-Walker-ST-KS-groß Leicht-Walker-ST-KS-mittel Leicht-Walker-ST-KS-klein

Leicht-Walker-ST-groß Leicht-Walker-ST-mittel Leicht-Walker-ST-klein

Leicht-Walker-groß Leicht-Walker-mittel Leicht-Walker-klein

Foot-Walker-HG-KS-groß Foot-Walker-HG-KS-mittel Foot-Walker-HG-KS-klein

Foot-Walker-HG-groß Foot-Walker-HG-mittel Foot-Walker-HG-klein

Foot-Walker-ST-KS-groß Foot-Walker-ST-KS-mittel Foot-Walker-ST-KS-klein

Foot-Walker-ST-groß Foot-Walker-ST-mittel Foot-Walker-ST-klein

Foot-Walker-groß Foot-Walker-mittel Foot-Walker-klein

Connecting Plate

Standard

38,9 cm x 22,0 cm 32,0 cm x 19,0 cm 25,0 cm x 16,0 cm

Connecting Plate Extra-Wide

55,0 cm x 22,0 cm 43,0 cm x 19,0 cm 38,0 cm x 16,0 cm

Combination Stehbrett Standing Platform podium with Superstructure


Fitting When fittings become complicated and time consuming, it can lead to compromises being made at the cost of the patient. With this in mind, our Leicht-Walker and Foot-Walker podium were designed (and patented) so that all adjustments can be made on-site without having to take the patient out of the orthosis.

Vertical axis adjustment in four directions without dismantling unit.

Primary or secondary deformities can bring about shifts in the body´s center of gravity, which can be compensated for by repositioning the alignment plate. After loosening 4 lock nuts, the alignment plate can slide on the base plate.

Individual adjustment of stride length without dismantling the unit.

Some patients experience unwanted differences in stride length, which can be overcome using the individual stride length adjustment. After loosening the clamp screws on the guide assembly, the stride length can be adjusted using the set screws.

Simple step width adjustment without dismantling the unit.

To optimize walking and stability it is imperative that the correct distance between the footplates be adjusted to your patient. Lesser distance between the footplates eases initiation of the step. Greater distance increases stance stability, however, reduces step length. The foot plates are easily moved closer together or further apart via the threaded spindle on the guide assembly. Subsequent adjustment of the damper unit keeps the feet parallel.

Versatile

Body shell is easily detached to ease donning while lying down.

The ability to separate the body shell from the Leicht-Walker or Foot-Walker makes donning of the orthosis much easier and allows the shell to be used separately if necessary. After opening grips on the connecting plate and superstructure, the body shell can be removed.

Connecting plate is compatible with the Stehbrett Standing Platform.

E.g. A Stehbrett Standing Platform can be used to stand the patient during the period preceding walking, or as an alternating option. After opening the grip on the connecting plate and the upright screw on the superstructure, the body shell together with the superstructure can be transferred to the Stehbrett Standing Platform.

Can be adapted to the next biggest standing and walking unit.

With patients who are still growing, it can be necessary to change to a larger walking or standing unit. After opening grips on the connecting plate and superstructure, the body shell can be adapted to the next size walking unit.


A podium walking unit must be easily and accurately adjustable. It needs to be adaptable in order to meet patient needs today as well as tomorrow. It must be safe and remain 100% functional throughout its lifetime. A podium must be durable enough to withstand careless handling and transport, and naturally, it shouldn’t produce any loud noises.

Podium Leicht-Walker ORTHO-SYSTEMS 2016

Foot-Walker ORTHO-SYSTEMS

Swivel * Tilt-Swing-Plate *

Lateral displacement of the body shell

(center of gravity shift)

yes

Precise adjustment without dismantling the unit or removing

body shell.

yes


body shell.

yes


body shell.

very inconvenient

Body shell must be removed and re-affixed to the carbon base plate.

Weakening of carbon.

Anterior / posterior displacement of the

body shell (center of gravity shift)

yes


body shell.

yes


body shell.

yes


body shell.

very inconvenient

Body shell must be removed and re-affixed to the carbon base plate.

Weakening of carbon.

Stride width adjustment

Adjustment of tilt

yes

Precise, parallel counter movement without dismantling the

unit.

yes

Precise, parallel counter movement without dismantling the

unit.

limited

Only with simultaneous lateral shifting of the body shell. In

increments of approx. 14mm.

limited

Only with simultaneous lateral shifting of the body shell. In

increments of approx. 14mm.

Parallel alignment of foot plates

Adjustment of tilt

yes

Precise adjustment of pneumatic cylinder length without dismantling

unit or removing body shell.

yes

Precise adjustment of pneumatic cylinder length without dismantling

unit or removing body shell.

poor

After removal of pneumatic cylinder it can be shortened. Lengthening is not possible!

poor

After removal of pneumatic cylinder it can be shortened. Lengthening is not

possible!

Stride length adjustment

yes

Feet individually adjustable without dismantling unit or

removing body shell.

yes



yes



unknown

Treatment with pronounced hip

abduction position

yes

Extra wide connecting plate on request

(no additional charge).

yes

Extra wide connecting plate on request

(no additional charge).

possible

Custom order if requested.

not possible

Body shell is affixed to carbon base plate.

For patients over 60kg.

yes

yes

yes

only as custom order

Hand grips for patient

yes

as model Leicht-Walker-HG-

yes

as model Foot-Walker-HG-

yes

option available

not offered

no information from manufacturer

Combinable with standing unit or next

size podium

yes

Compatible connecting plate (to which body shell is attached)

yes

Compatible connecting plate (to which body shell is attached)

no

Body shell is affixed to alignment plate.

no

Body shell is affixed to base plate.

Minimal noise when walking

yes

Step length stops dampened by silent pneumatic cylinder.

yes


not acceptable

Loud step length stops.

yes


Height Lower center of gravity

increases stability

4,5 cm

Ground to top edge of base plate Model: Leicht-Walker-ST-medium

4,6 cm

Ground to top edge of base plate Model: Foot-Walker-ST-medium

5,3 cm

Ground to top edge of base plate

4,7 cm

Ground to top edge of base plate

Durability Functional reliability throughout lifetime

yes

Load bearing components are high-strength aluminum and steel. Connecting plate, alignment plate

and feet are carbon.

yes

Load bearing components are high-strength aluminum and steel. Connecting plate, alignment plate

and feet are aluminum.

presumably

metal fabrication (no information from

manufacturer)

no

Load bearing components are carbon = low impact resistance.

(should be examined for damage if dropped)

Guarantee

24 months

see "unrivalled guarantee

24 months

see "unrivalled guarantee"

6 months

no further information from manufacturer

6 months

no further information from manufacturer

Reusable For the same or new

patient

yes

after return for refurbishment (new 24 month guarantee)

yes

after return for refurbishment (new 24 month guarantee)

no


no


* The Swivel from the UK was developed in the 1970s. The Tilt-Swing-Plate (Kippschwungplatte) is made from carbon sheeting and came to market in 2011. For comparison purposes a 143cm tall patient weighing 40kg with an axilla height of 112cm is assumed.

( green is good, yellow is limited, red shouldn´t be)


The Stehbrett Standing Platform with Superstructure A special feature of the Stehbrett Standing Platform is its versatility; the standing aid can be used e.g., at home, daycare, school or on holidays.

The custom body shell used in conjunction

with the Stehbrett supports primary

deformities and selectively counters any

possible secondary deformities.

The superstructure used to attach the shell

allows for all adjustments and can be

lengthened for growth.

Stehbrett-HG-KS Stehbrett-ST-KS

Stehbrett (Podium only) Stehbrett-HG Stehbrett-ST


Wheels with locking brakes. Anti-tip protection is available for patients at risk of toppling.

Silicone bumper to avoid damages and protect against injury.

Release mechanism allows body shell to be donned separately while lying down.

Can be easily adapted to the next size Standing Platform and Foot-Walker at any time.

Body shell can also be used separately for static bracing.

Can be converted to a Leicht / Foot-Walker via the connection plate at any time.

Unrestricted abduction positioning of the hips is possible. Upon request an extra wide connection plate can be supplied (no extra charge).


Functions of the standing platform

Applications

Verticalization to allow standing, e.g., at a table for playing or working.

Mobility by releasing the locking brakes.

Functions of the adaptation unit

Handling

Body shell can be separated from the standing unit and superstructure for easier donning.

Body shell can be separated from the standing unit and superstructure for storage.

Body shell and superstructure can be separated from the standing unit for installation on the Foot-Walker.

Body shell and superstructure can be separated from the standing unit for transport.

Body shell and superstructure can be separated to change the standing unit and/or Foot-Walker as the patient grows.

Functions of the body shell

Stabilization and Support

Lack of muscular strength is compensated by the body shell.

Optimized support guides physical growth.

Support for primary trunk and pelvic deformities and counteraction of possible secondary deformities.

Supporting of leg and foot deformities and counteraction of possible secondary deformities.

Article-No.

Large Medium Small Extra Large

Stehbrett-HG-KS-groß Stehbrett-HG-KS-mittel Stehbrett-HG-KS-klein Stehbrett-HG-KS-groß-breit

Stehbrett-HG-groß Stehbrett-HG-mittel Stehbrett-HG-klein Stehbrett-HG-groß-breit

Stehbrett-ST-KS-groß Stehbrett-ST-KS-mittel Stehbrett-ST-KS-klein Stehbrett-ST-groß-breit

Stehbrett-ST-groß Stehbrett-ST-mittel Stehbrett-ST-klein Stehbrett-ST-groß-breit

Stehbrett-groß Stehbrett-mittel Stehbrett-klein Stehbrett-groß-breit

Connecting Plate Standard

38,9 cm x 22,0 cm 32,0 cm x 19,0 cm 25,0 cm x 16,0 cm 38,9 cm x 22,0 cm

Connecting Plate Extra-Wide


Wooden Platform


Combination The Leicht-Walker or Foot-Walker with Superstructure


The Heavy Duty Tools Proper ergonomic design of the bending irons ensures improved grip and stability.

Vise Bending Iron- 4-way

Hand Bending Iron- double


Bending iron for vise machined from high strength steel with fitted aluminum jaws for secure clamping.

Hand bending iron machined from high strength steel with sturdy aluminum grip.

Jaw depth accepts materials up to 50mm wide.

Makes bending enjoyable!


Description Article No. Jaw Width

Bending iron for vise

WE-SSE-vierer-groß

8 – 10 – 12 – 14 mm

* Hand bending iron- double

WE-HSE-doppelt-14-12

14 and 12 mm


14 and 10 mm


12 and 10 mm

WE-HSE-doppelt-12-8

12 and 8 mm

WE-HSE-doppelt-10-8

10 and 8 mm

WE-HSE-doppelt-8-6

8 and 6 mm

* Hand bending iron- single

WE-HSE-einzeln-14

14 mm

WE-HSE-einzeln-12

12 mm

WE-HSE-einzeln-10

10 mm

WE-HSE-einzeln-8

8 mm

WE-HSE-einzeln-6

6 mm

* Aluminum grip diameter 35 mm.


The Handy Clamp This custom tool is specifically designed for the purpose of attaching the knee extension assist cylinder to the Extensor-N option. Easy to use, secure and ergonomic. A robust, high quality tool for the workshop.

Clamp is positioned on the

Extensor-N cylinder and

tightened using the grip on the

right.

The cylinder can be lifted from

the lower attachment point.

Now the upper attach point can

be unscrewed.

The cylinder is removed while

retained in the clamp.

Description Article No. Cylinder Size *

Zwinge

WE-Zwinge-HG

12 / 15 / 18 Ø

* Fits all Extensor-N cylinders.


The All-Purpose Silicone Easy to use silicone fills in gaps where resin shouldn’t go, and fixes orthotic joints in the chosen alignment. Quick and clean application does away with using time-

consuming dummies.

Two-part silicone seals all areas which are to remain free

from resin while laminating.

E.g., attachment points for Shuttle power units can be

filled-in and kept free (far right in photo).

Stabilizing and fixing joints with silicone saves time while

laminating and cutting the joints free.

Description Article No. Quantity **

Knetsilikon *

WE-KN-Silikon-groß

2 x 170g for RGO / HKAFO

WE-KN-Silikon-klein

2 x 110g for KAFO / AFO

* When the silicone comes in contact with hands, the setting time is shortened. Contrarily, latex gloves impede hardening. Vinyl gloves are recommended.

Mixing time: 30 seconds. Working time: 2 minutes. Full hardening after 4 minutes.

** Intended applications for this silicone are the sealing and positioning of orthotic joints. The silicone is only suitable as a tool in the workshop and is in no way to be integrated into a patient product.


The Custom Hipo Hip Joint Available in 3 different sizes, each

individually custom-made. The Hipo-small

for toddlers progressing from crawling to

standing, the Hipo-mediuml for children,

and the Hipo-Aqua (size large) for adult

hip disarticulation patients.

The Hipo-Aqua is the first waterproof prosthetic hip joint available for hip disarticulation patients.

Hipo-large-Aqua (CAD Animation)

Special Features

All Hipo joints are sand and dirt resistant.

The Hipo-gross-Aqua for the nicest time of year

Individually custom fabricated and suitable for patients with difficult stump conditions.

Ideal as an alternate prosthesis


The System An individual, distinctive hip joint which can be modified on-site by the attending prosthetist. The hip joint is easily lengthened for

patients who are still growing.

Illustration top left: Aligned according to the patient with adjustable spring force, length and rotation. Illustration top right: Pelvic connection custom-made according to cast specifications. Illustration bottom right: Adapter with neutral alignment angle for your chosen knee joint.

Ordering The Hipo hip joint is fabricated specifically for your patient. It is therefore necessary to send us the cast / test socket, knee joint and relevant

measurements.

Delivery Delivery time is approx. 4 -6 weeks after receipt of order. The Hipo hip joint is shipped in the neutral alignment position. Fabrication of the

prosthesis and individual adjustments are made on-site by the attending prosthetist

For further information:

Jeff Matwichuk

and Thomas Böckh

Telephone +49 89 90475750


Closure Systems Advancements in hip disarticulation prosthetics require a pelvic fastener which enables tight closing and can maintain the rigid integrity of a two-piece socket system.

Mammut-medium

Gleiter-medium


Gleiter model has replaceable slide rails to service wear.

Developed for use with pre-preg technology.

Stainless steel tunnel and base plate can be opened from inside.

Weight classification ensures system is stable even with large patients.

Gleiter rotational stiffness permits reliable walking and standing.


Functions

Mammut

Tightening of the pelvic socket.

“Back” securely maintains closed position.

Can be locked in the open position.

Gleiter

Guiding slide rails assist donning and doffing.

Tongue and tunnel provide anterior / posterior stability.

Tongue and tunnel provide proximal / distal stability.

Silicone Frame Socket This ischial ramus containment socket fastens the pelvis diagonally on both sides between the iliac crests and the ischial tuberosity. This technique

has been realized by Udo Danske. A silicone liner in the shape of a swimsuit is fashioned in order to spread out the forces and protect the skin.

Then a two-piece rigid frame fastening both ilia is fabricated. The iliac crest and spine are left uncovered and an opening is provided at the level of

the acetabulum. Posteriorly, the socket is trimmed so that the frame lies on the sacrum but lumbar vertebrae are left free. The Gleiter at the sacral

level maintains the stability of the rigid two piece frame while the Mammut, positioned on the side, holds the socket together and enables donning

of the prosthesis.

Closure System

Article No. Gleiter-groß Gleiter-mittel Gleiter-klein

Mammut-groß Mammut-mittel Mammut-klein

* Body Weight

Up to 120 Kg

Up to 85 Kg

Up to 50 Kg

** Pelvic Width

from 32 cm to 39 cm

from 26 cm to 33 cm

from 20 cm to 27 cm

* Attention! The weight classification system we use to determine joint selection assumes “normal” body proportions. If your patient varies from these proportions, e.g. tall / slim or short / sturdy, please contact us to determine the proper selection.

** The pelvic width is measured ½-way between the trochanter and iliac crest. 5mm padding is taken into consideration.

Frame socket with skin colored silicone liner.

Illustration from www.geh-vision.de

Blue silicone liner

http://www.geh-vision.de/


The small Icke- Threaded laminating insert for attachments

to prosthetic and orthotic framework.

For all supporting materials from silicone to carbon.

Icke- in transparent silicone.

Illustration: The Icke- affixes the silicone liner to the carbon frame. Socket: www.geh-vision.de

Features

Light convex form for better adaptability.

Made from lightweight aluminum.

Anti-rotation integrated for secure hold even in silicone.

The Icke is available with or without flat-headed screw.

http://www.geh-vision.de/


Configurator 6.2 Four databases allow targeted access to all our products, clearly described and illustrated. The ‘configurator’ tool guides the user step by step in

choosing the correct components for a given patient size and orthosis (for replacement parts, use our specially designed search engine supported

by expanded parts diagrams).

Just a few clicks

Select the orthosis type and side.

Security: All data is stored only on German servers and encrypted for secure transmission. Any information we receive is used only by us to help

improve our services. We do not sell or pass this information on to third parties.


Except for the patient name (as well as clinic and referring physician, if applicable), all information is easily entered using select boxes with drop

down lists. Only relevant information in the left column is required to arrive at the correct joint selection, all other information is optional. After

saving, all information is linked with a shopping cart which can be called up and modified at any time.

Just a few clicks

Enter the patient name, so you can retrieve all information about your patient in the future. Age and weight data allow the system to generate height and tibial plateau measurements with accuracy.

The height and tibial plateau measurements are entered from drop down lists. Indicate if pelvic support is applicable and a diagnosis.

Optional entries

For your documentation, relevant information about your patient can be entered in the middle column. E.g. referring physician, contractures, etc.

Muscle status entries are assisted by accompanying muscle grading tables.


The configurator was developed in an interdisciplinary team; a collaboration of design engineer, programmer and orthotist. Each orthosis type is

assigned a so-called rainbow table which uses existing forces of different body types, ages, height and weight ratios (overweight to very thin) to

calculate an indicator, which then selects the appropriate orthotic joint.

Joint selection with just a few clicks

The carousels in the left column offer you a choice of orthotic joints at each level (ankle, knee, hip). All relevant information about each joint is displayed simultaneously on the right.

After making your selection, the total price is shown on the right where you can move the items to a shopping cart.

All saved shopping carts can be recalled at any time, modified and converted into an order. As with other methods of ordering (e.g. phone or

fax), information such as orders, delivery notes, invoices and credit notes can be viewed and saved externally.


ORTHO-SYSTEMS

P.O.Box 1201, 85542 Kirchheim, Germany

Merowingerstr. 14, 85551 Kirchheim , Germany

Tel. +49 (0) 89 90 47 57 50 Fax +49 (0) 89 90 47 57 55

Replacement Cam- Order

Order Confirmation

Company: Ordered by

Tel.: Fax.: Page: / Date: . . 201 _

Cam

Set

38

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°

Piece(s) Piece(s) Piece(s) Piece(s) Piece(s) 5° / 4° 5° / 6° 5° / 8° 5° / 10° 5° / 12°

Piece(s) Piece(s) Piece(s) Piece(s) Piece(s)

10° / 10° 15° / 8° 15° / 10° 15° / 12°

Piece(s) Piece(s) Piece(s) Piece(s)

Cam

Set

34

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°



10° / 10° 15° / 8° 15° / 10° 15° / 12°


Cam

Set

32

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°



10° / 10° 15° / 8° 15° / 10° 15° / 12°


Cam

Set

30

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°



10° / 10° 15° / 8° 15° / 10° 15° / 12°


Cam

Set

28

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°


Piece(s) Piece(s) Piece(s) Piece(s) Piece(s) 10° / 10° 15° / 8° 15° / 10° 15° / 12°


Cam

Set

25

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°



10° / 10° 15° / 8° 15° / 10° 15° / 12°


Cam

Set

22

0° / 4° 0° / 6° 0° / 8° 0° / 10° 0° / 12°



10° / 10° 12° / 8° 12° / 10° 12° / 12°


Movement stops in blue (increased range of motion) permit a center of gravity shift outside the standing space and are recommended for ankle joints generating a counter force; e.g. Shuttle-Flex and Shuttle-Booster.

Replacement cams for refilling of cam sets are provided free of charge. Stamp and Signature


ORTHO-SYSTEMS

P.O. Box 1201, 85542 Kirchheim, Germany

Merowingerstr. 14, 85551 Kirchheim, Germany

Tel. +49 (0) 89 90 47 57 50

Fax +49 (0) 89 90 47 57 55

Order

Enquiry

Company:

Contact Person:

Tel.: Page: /

Fax: Date: . . 201 _

Article Number Qty. / Unit Patient Name

/

/

/

/

/

/

Pelvic Width Hip joint centre to joint centre cm

Body Weight

KG

Pelvic A-P Buttocks to hip joint centre cm

Body Height

cm

Outline 2,5 cm above hip joint centre Enclosed

Tibial Plateau - Ground

cm

Stamp and Signature

Attention! The weight classification system we use to determine joint selection assumes “normal” body proportions. If your patient varies from these proportions, e.g. tall / slim or short / sturdy, please contact us or use our configurator to determine the proper selection. www.ortho-systems-inmotion.com

For hip joint orders with custom fabricated pelvic connections, please refer to the information in “Custom Fabricated Pelvic Connection (-AG)”


Replacement Parts

Expanded Parts Diagram Shuttle-Turbo

Expanded parts diagrams for all of our products are printed on their respective instructions for use. For replacement part ordering made easy, go to our website at www.ortho-systems-inmotion.com and simply click on the required part.



Milestones

ORTHO-SYSTEMS is a small and relatively new to the industry company, specializing in high quality orthotic joints. Of utmost importance to us is

the production of both durable and functional products. Our company foundations go back to the university days of the owner. While fabricating an

HKAFO, no joints available on the market met the required functions while providing sufficient stability. Together with a precision-engineer friend,

the first unilateral hip, knee and ankle joints were born. Today, more than 20 years later, we are an engineering company led by orthotists. All our

products are designed in CAD, milled exclusively in CNC, and assembled and distributed solely by ourselves. Made in Germany. From the very

beginning, we chose to focus on research and development and thus forgo a sales force. Our model is to meet new customers through trade fairs,

and keep them happy with quality products and satisfied patients. Here are some of our innovations that changed the orthotic world:

Orthotics Year

Unilateral free knee joint Worldwide debut

Invention of the L – carbon spring Worldwide debut in orthotics

Self-lubricating washers calibrated to 100th / millimeter Worldwide debut

3-D hip joint with rotation, flexion / extension and abduction

Functional classification according to lesion

Weight classification for orthotic joints Worldwide debut

Interchangeable movement stops 2000 Worldwide debut

Jumper unilateral ankle joint 2000 Worldwide debut

Stehbrett standing platform with superstructure 2000 Worldwide debut

Water and sand resistant knee and ankle joints 2000 Worldwide debut

Foot-Walker- Podium with patented adjustment mechanism 2001 Worldwide debut

Carbon fiber ankle joint with dorsiflexion up to 27° 2004 Unique

Addition of 2-D and 1-D hip joints to the 3-D hip joint line 2008 Unique in the branch

Modular Liber knee joint with Extensor-N option 2014 Worldwide debut

Unrivaled guarantee increased to 20 months 2014 Unique in the branch

Modular Shuttle ankle joint 2016 Worldwide debut

Shuttle-Booster for AFO 2016 Worldwide debut

Shuttle-Turbo for KAFO and AFO 2017

Shuttle –Uno power unit with tension and compression forces 2018 Worldwide debut

Complex knowledge needs to be shared Year

Complete internet application with customer interface 2005 Unique in the branch

All data stored only on German servers 2005

Orthotic configurator 1.0 with targeted result 2005 Worldwide debut in the branch

Data protection using secure encryption technology 2010 Unique in the branch

Orthotic configurator 6.0 – only 3 Steps to result 2016

Updating our internet application; now tablet compatible 2018

Understanding Orthotics Handbook 1.0 2018

Products 10.0

Notes


Contact

You can reach us from 9:00 to 17:00 (Germany) by telephone at +49 89 90 47 57 50

fax +49 89 90 47 57 55 email [email protected]

lettermail Postfach 1201, 85542 Kirchheim, Germany and by parcel post Merowingerstr. 14, 85551 Kirchheim, Germany

Your contact persons are Anke Böckh and for technical questions

and

Jeff Matwichuk Thomas Böckh

www.ortho-systems-inmotion.com

mailto:[email protected]


The Unilateral Joint System

To ensure full stability while the orthosis is being worn, it is necessary to ensure proper resistance to the occurring forces.

This is only possible if the stresses are determined in

advance using weight and functional classifications.

It is important to apply the predetermined uprights over the

entire orthosis length in order to stabilize all contact points.

Thanks to this dependable stability, rotation can be

considerably prevented, while a defined lateral flexibility is

permitted to prevent breakage.

Example: The evolution of double-winged aircraft to

today’s passenger planes clearly demonstrates the

unilateral principle. Wings have a defined flexibility to

prevent breakage, while their rotational stability

simultaneously avoids any unwanted movements.

Illustration:

Animation by ORTHO-SYSTEMS

based on image of an Airbus A320.

Airbus wouldn’t build a biplane!

Special Features: Uprights

Defined lateral flexibility to prevent breakage.

Rotational stability to control gait and prevent unwanted movements.

Uprights can be overlapped enabling eventual lengthening of the orthosis to accommodate body growth.

Modification, adaptation and correction of the orthosis without loss of the static structure.

Special Features: Joints

Sizes available from toddler to adult.

Low maintenance joint constructions with available service sets for inspection intervals.

Opening and closing mechanisms can be easily operated by the patient or caregiver.

RGO HKAFO KAFO AFO - Ortho-Systems-bewegt...RGO HKAFO KAFO AFO Products 10.0 Updated May 2018...

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